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Updated: May 5, 2026

An Ex vivo Model to Study Hormone Action in the Human Breast
Published on: January 8, 2015
Prostaglandin E receptor EP4 is a therapeutic target in breast cancer cells with stem-like properties
Namita Kundu1, Xinrong Ma, Tyler Kochel
1Department of Pathology, University of Maryland, Baltimore, MD, USA, nkundu@umaryland.edu.
Abstract:
The cyclooxygenase pathway is strongly implicated in breast cancer progression but the role of this pathway in the biology of breast cancer stem/progenitor cells has not been defined. Recent attention has focused on targeting the cyclooxygenase 2 (COX-2) pathway downstream of the COX-2 enzyme by blocking the activities of individual prostaglandin E (EP) receptors. Prostaglandin E receptor 4 (EP4) is widely expressed in primary invasive ductal carcinomas of the breast and antagonizing this receptor with small molecule inhibitors or shRNA directed to EP4 inhibits metastatic potential in both syngeneic and xenograft models. Breast cancer stem/progenitor cells are defined as a subpopulation of cells that drive tumor growth, metastasis, treatment resistance, and relapse. Mammosphere-forming breast cancer cells of human (MDA-MB-231, SKBR3) or murine (66.1, 410.4) origin of basal-type, Her-2 phenotype and/or with heightened metastatic capacity upregulate expression of both EP4 and COX-2 and are more tumorigenic compared to the bulk population. In contrast, luminal-type or non-metastatic counterparts (MCF7, 410, 67) do not increase COX-2 and EP4 expression in mammosphere culture. Treatment of mammosphere-forming cells with EP4 inhibitors (RQ-15986, AH23848, Frondoside A) or EP4 gene silencing, but not with a COX inhibitor (Indomethacin) reduces both mammosphere-forming capacity and the expression of phenotypic markers (CD44(hi)/CD24(low), aldehyde dehydrogenase) of breast cancer stem cells. Finally, an orally delivered EP4 antagonist (RQ-08) reduces the tumor-initiating capacity and markedly inhibits both the size of tumors arising from transplantation of mammosphere-forming cells and phenotypic markers of stem cells in vivo. These studies support the continued investigation of EP4 as a potential therapeutic target and provide new insight regarding the role of EP4 in supporting a breast cancer stem cell/tumor-initiating phenotype.
Insights
Targeting prostaglandin E receptor 4 (EP4) inhibits breast cancer stem cell properties. EP4 antagonists reduce tumor initiation and stem cell markers, suggesting EP4 as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Stem Cell Biology
Background:
- The cyclooxygenase (COX) pathway is implicated in breast cancer progression.
- The role of COX pathway in breast cancer stem/progenitor cells is undefined.
- Prostaglandin E receptor 4 (EP4) is expressed in invasive breast carcinomas and antagonizing it inhibits metastasis.
Purpose of the Study:
- To define the role of the COX pathway, specifically EP4, in breast cancer stem/progenitor cell biology.
- To investigate EP4 as a potential therapeutic target for breast cancer stem cells.
Main Methods:
- Assessed COX-2 and EP4 expression in mammosphere-forming breast cancer cells.
- Treated mammosphere cells with EP4 inhibitors or EP4 gene silencing.
- Evaluated tumor-initiating capacity and stem cell markers in vivo using an oral EP4 antagonist.
Main Results:
- Mammosphere-forming cells with metastatic potential upregulate EP4 and COX-2, exhibiting increased tumorigenicity.
- EP4 inhibition or silencing reduced mammosphere-forming capacity and stem cell markers.
- An oral EP4 antagonist reduced tumor initiation and stem cell markers in vivo.
Conclusions:
- EP4 plays a critical role in supporting the breast cancer stem cell phenotype and tumor-initiating capacity.
- EP4 antagonism represents a promising therapeutic strategy for targeting breast cancer stem cells.
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